Your patient complains of worsening ankle edema and weight gain over the last week. On physical examination, you note jugular venous distension, ascites, hepatomegaly, and splenomegaly. These conditions are indicative of:
A. Left ventricular failure
B. Pulmonary embolism
C. Right ventricular failure
D. Myocardial infarction
ANS: C
Right ventricular failure is characterized by dependent edema, elevated venous pressure, hepatomegaly, and possibly ascites. Pulmonary embolism presents with sudden shortness of breath and tachycardia. Left ventricular failure is characterized by dyspnea on exertion, cough, fatigue, orthopnea, PND, cardiac enlargement, crackles, gallop rhythm, and pulmonary congestion. Myocardial infarction presents with crushing retrosternal chest pain, pallor, dyspnea, and diaphoresis.
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A nurse who works at a nursing home notices that a client's hearing has diminished significantly over the past couple of days. The client has been receiving gentamicin IV for an infection. Which action by the nurse is the most appropriate?
1. Continue gentamicin IV and check the peak level in a week. 2. Suggest checking the client's peak gentamicin level and immediately report the loss in hearing in the chart and to the health care provider. 3. Tell the client that she is going to need a hearing aid. 4. Continue gentamicin IV and suggest adding vancomycin IV to improve the ototoxicity.
For which symptoms should the nurse teach the client to monitor when taking doxazosin (Cardura)?
1. Dizziness and headache 2. Difficulty in breathing 3. Decreased urinary frequency 4. Constipation
After teaching a class of nursing students about muscular dystrophy, the instructor determines that the teaching was successful when the students identify which type of muscular dystrophy as demonstrating an X-linked recessive pattern of inheritance?
A) Limb-girdle B) Myotonic C) Distal D) Duchenne
Patient observed posturing and staying in the same position for extended periods of time, flat affect, echolalia, waxy flexibility.